Brody, Hanna

Brody, Hanna is an sole proprietor health care provider with primary practice located at 2200 Larkspur Landing Cir , Larkspur CA 94939-1821. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Brody, Hanna can be contacted via phone (415) 461-5280.

Contact Information

Primary practice address
2200 Larkspur Landing Cir Larkspur CA 94939-1821
Phone: (415) 461-5280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 104566 California
Dental Providers / Periodontics 1223P0300X 104566 California

Profile Details

NPI number 1144867052
LBN Legal business name Brody, Hanna
Credentials DDS MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2019
Last updated Aug 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144867052 NPPES
California Other 104566 DENTAL BOARD OF CALIFORNIA

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